Cervoni L, Celli P, Caruso R, Gagliardi F M, Cantore G P
Dipartimento di Scienze Neurologiche, Università degli Studi di Roma La Sapienza.
Minerva Chir. 1997 May;52(5):629-33.
A retrospective review of 603 cases of intradural benign tumors of the cauda equina are presented (283 schwannomas and 320 ependymomas). For each tumor, the clinical course and long-term postoperative results were analyzed: it emerged that differential diagnosis between neurinomas and non tumoral lesions is not possible if based on clinical findings alone and that neuroradiological diagnosis is more accurate when MRI is employed. Long-term prognosis of neurinomas was always favourable, while in the ependymomas, early diagnosis gives excellent results because prognosis is apparently directly correlated to the length of preoperative clinical history.
本文对603例马尾神经硬膜内良性肿瘤(283例神经鞘瘤和320例室管膜瘤)进行了回顾性研究。对每例肿瘤的临床病程和术后长期结果进行了分析:结果表明,仅基于临床表现无法区分神经鞘瘤和非肿瘤性病变,而使用MRI时神经放射学诊断更为准确。神经鞘瘤的长期预后总是良好的,而在室管膜瘤中,早期诊断能带来优异的结果,因为预后显然与术前临床病史的长短直接相关。